ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An ethics committee meeting can help resolve conflicts regarding the client's wishes versus the family's desires.
Question 2 of 5
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. This is the appropriate assessment for screening idiopathic scoliosis in an adolescent client. Truncal rotation is a key indicator of scoliosis, as it involves measuring the degree of spinal curvature and any abnormal twisting of the spine. By measuring truncal rotation, the nurse can identify potential signs of scoliosis early on, allowing for timely intervention and treatment.
Choice B is incorrect because administering insulin is not relevant to screening for scoliosis.
Choice C is incorrect as determining if stockings are binding is unrelated to scoliosis screening.
Choice D is incorrect as arranging for an ethics committee meeting is not part of the scoliosis screening process.
Question 3 of 5
A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Regular arm exercises help prevent lymphedema after a modified radical mastectomy.
Question 4 of 5
A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
Correct Answer: B
Rationale: Developing a policy for increases in noncompetitive physical activity programs would align with a primary prevention strategy for school-aged children. This intervention focuses on promoting healthy behaviors and lifestyle changes at the population level, which can help prevent health issues before they arise. By creating opportunities for all children to engage in physical activity, regardless of their weight status, the nurse can positively impact the overall well-being of the student body. This approach emphasizes the importance of prevention by addressing risk factors at a holistic level rather than targeting individual cases of obesity after they have developed.
Question 5 of 5
Which activity would the nurse perform during the evaluation phase of evidence-based decision- making (EBDM)?
Correct Answer: C
Rationale: During the evaluation phase of evidence-based decision-making (EBDM), the nurse would perform activities to determine the effectiveness of the proposed plan. This involves assessing whether the plan is achieving the desired outcomes and making adjustments if needed. Evaluating the plan helps the nurse understand if the chosen interventions are successful and if the expected improvements are being realized in the patient or population. This step is crucial as it allows for continuous improvement and refinement based on feedback and data obtained during the evaluation process.